Last Updated: 1/31/2025
1. Introduction
Welcome to [Dental Clinic Name]. You agree to comply with the terms and conditions outlined below by accessing our services. Please read these Terms of Service carefully before scheduling an appointment or using our services.
2. Definitions
“Clinic” refers to [Dental Clinic Name] and its affiliated providers.
“Patient” refers to any individual receiving dental services from the clinic.
“Services” refer to the dental treatments and consultations the clinic offers.
3. Appointment Scheduling and Cancellations
Appointments must be scheduled in advance via phone, online booking, or in person.
Patients must provide at least 24 hours’ notice for cancellations or rescheduling.
Missed appointments without prior notice may be subject to a cancellation fee.
4. Payment and Insurance
Payments are due at the time of service unless prior arrangements have been made.
We accept cash, credit cards, and approved insurance plans.
Patients are responsible for understanding their insurance coverage and copayments.
5. Treatment Consent
Patients (or legal guardians) must provide informed consent before receiving any dental treatment.
The clinic reserves the right to refuse treatment if consent is not provided.
6. Privacy and Confidentiality
We adhere to all applicable privacy laws, including HIPAA, to protect patient information.
Personal and medical information will not be shared without patient consent, except as required by law.
7. Patient Responsibilities
Patients must provide accurate medical history and inform the clinic of any changes in health status.
Following post-treatment instructions is essential for successful recovery and optimal results.
8. Emergency Care
For dental emergencies, patients should contact the clinic immediately.
After-hours emergency care policies will be provided upon request.
9. Limitation of Liability
The clinic is not responsible for complications arising from non-compliance with treatment recommendations.
Patients assume all risks associated with elective procedures and treatments.
10. Amendments to Terms of Service
The clinic reserves the right to update these Terms of Service at any time.
Continued use of services after updates constitutes acceptance of the new terms.
By using our services, you acknowledge that you have read, understood, and agreed to these Terms of Service.